Individual provider Active NPI

Angela Lynn Brown, FNP-BC

  • Family Nurse Practitioner
  • Crossville, TN
National Provider Identifier
1053754408
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000017559 Issued in TN
Practice address
3094 N Main St
Crossville, TN 38555-5471
Phone
(931) 644-5423
Fax
(931) 337-0155
NPI assigned
Apr 15, 2013
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000017559 TN Primary

Addresses

Primary practice location

3094 N Main St
Crossville, TN 38555-5471

Mailing address

PO Box 3350
Crossville, TN 38557-3350
Phone (931) 644-5423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000360 TN Practitioner - Nurse Practitioner 0042459182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Morgan County Health Council IncGroup PAC ID 6800865908, 9 clinicians
North Main Medical LLCGroup PAC ID 4688098767, 2 clinicians

Practice addresses (Care Compare)

224 Old Mill Rd
Wartburg, TN 37887-4163
Phone (423) 346-6221

3094 N Main St
Crossville, TN 38555-5471
Phone (931) 644-5423

PO Box
Suite 408
Wartburg, TN 37887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000017559TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Care Center of Wartburg Primary Care LLC Current Accepting new patients
North Main Medical, LLC CurrentSince Apr 8, 2026 Accepting new patients
Morgan County Health Council Inc CurrentSince Mar 5, 2024 Accepting new patients
Cumberland Spine & Sport, LLC Past Accepting new patients

Locations

181 Matherly St
Crossville, TN 38555
Phone (931) 456-1223

3094 N Main St
Crossville, TN 38555
Phone (931) 250-5521

224 Old Mill Rd
Wartburg, TN 37887
Phone (423) 346-6221

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1053754408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3350",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385573350",
            "telephone_number": "931-644-5423",
            "fax_number": "931-337-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 N MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555471",
            "telephone_number": "931-644-5423",
            "fax_number": "931-337-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.